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03/22/2004 11: 36 4�29� PETAL � PAGE 03 <br /> IR <br /> D, <br /> S T M nt,tex / A,f'% D b �jT <br /> San Jp,"gWn Rtglonl71 TransiY <br /> SAN JOAQUlN REGIONAL TRANSIT DISTRICT <br /> CHAIN OF CUSTODY LOG <br /> Date Time Item Sample Quantity Required Preservation Comments <br /> ID Analysis <br /> 3:45 1:50 I545 1 CAM 17 Preserved �Efh <br /> 3/12/04 pm pm Miner metals on ice ded c <br /> Fisb <br /> Bioassay <br /> Evidence Tape: provided by the San Joaquin County Environmental Health Department <br /> As indicated above sample was preserved on ice and transported via a dedicated cooler <br /> Relinquished byJ Jghgn lrr S8 <br /> Print Name ignatur Date Time <br /> Received by: Le— <br /> Print Name Signature Date Time <br /> Remarks, condition,temperature <br /> Relinquished by <br /> Print Name Signature Date Tvne <br /> Received by: <br /> Print Name Signature Date Time <br /> Remarks, condition,temperature <br />